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Home My WebLink About30241525 - PermitCity 0f Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing Permit #: 3o241525 Pin #: 27749Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 J Proiect Address: 701 S Kilson Dra Assessor's Parcel: 01 1-094-01 Lot: 5 Unit: Block: NA Bldg: Tract: 608 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address. Phone: Sashi Sureen P O Box 62004 lrvine, CA 92602 (714)- e33-0537 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Amount Qty Fee Water Closet 14.78 1.00 $14.78 Shower 23.12 1.00 $23.12 Sink 13.20 2.OO $26.40 Dishwasher 12.44 1.00 $12.44 Garbage Disp 1 1.08 1.00 $11.08 General Plan Update Z2.gS 1.00 $22.95 lssuance 57.20 1.00 $57.20 Microfilm ffipfflft ?-,2?4t gt}tt2ul? 1ffiQ F,,{un is$3.91 nf{ ire: (:TYH Trnns*: 3? ? ci{' ii AccL*: Ret*: 31J24 l::i?li RcpL*:Ll?903131 Il/g/?1r19 3:,Stt F'H Trnnscction ToLal tlr?1:l'{i4 $osh i Sureen Tenant Name: Contractor: Address. Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: OF Replace existing fixtures. i22,95 3145 .tt? $3,?1 $1r215.94Building Use: Single Family Dwelling Job Type: Alteration Nature of Work: Remodel Occupancy. Constr Type: Code. Date: Date: Date: R-3, U VB cPc 2016 Notes: Planning Conditions: lnterior ti only. No exterior alterations or modifications. Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Amsden, Julie Buirdins Permit #: 1 0 2102186 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, or if the work authorized on fhe site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 11t08t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt. Total 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $22 e5 $145.02 $3 e1 Fee Total: Paid to Date: Balance Due: $171 .88 $0.00 $1Zl .88 lnspector MtD#'. 2019-155753 a PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hercby affm under penrlty of periury that I m ercmpt from thc Contreton' Licens hw for thc following tE@n (Se.7031.5 Business ard Prcfession Code): Atry City or County whkh rcquircs 8 Jrcmit lo snslrucl, 81t6. irpmre, dcmlish or rcpoir any struclue. ptbr to its issrc, als rcquircs lhc spplicant for ruch Fmit to filc s sigcd saatcmnt that he or slE is liensd pwfft to tlE prcvisioN of tlE Contracttr's Lien$d Lrw (Chsptr 9. Comrcing with Sstk n ?(x)0 of Divtubn 3 of thc Busire$ ud Prcfessbns Code) or thrt hc or she is cxctrpl thmtom rnd thc b6!is for thc rllcgcd cxctrptbn. Any violation of Sâ‚¬{ion 703 I .5 by rny spplicsnt for 8 pemit subjerts tlE 8pplicant to 8 civil pcElty of mt mrc tho five hundred dollm ($5@). (-$.1. as owm of the prcFny. tr my cmplolss with wrgs Ls rhcir stc oqrcmalion. will do ttE vqt snd tlt srnrrre is mt intcndcd m of[crcd for sb (Se.ZX4, Busircs ud Profqsions Codc: Thc Contretor's LLTn$ llu des mt rDply io m owrer of thc proF ry who huilds q i'prou ilso[ Ud who dc st w* himslf or hcrclf or ]hrcugh his q hâ‚¬r om etrployces, prcvided thrl such imFownts re mt intandcd or offcrcd ftr sb. lf, howE the buiHirB tr itrproErcnt is $ld wlhin orc lar of onpletior tb Owrcr Buildd will hrw tlI hrden of Imving thar lr or shc dil mt buiH q inpmE $G poFty for tlt Ftrpos of ele). -1. &r wrcr of thc FoFty, am cxclusircly contnctitrg with liccnsd coflretoE to @nslrucl lhe prci:d (56. 7044. Buircs ard Prof63im Codc: The Contrctor's Liccns lle dc3 rct apply to m ownc of prcJErty vho buildr or impmrcs tls6n. 8nd who ontrrcts fq srch prcixts with 8 ContEclo(s) lieNed puMnt to thc Conrrclor's Licw Lrwr. -l mcxcmDt urdcr sction- B. & P.C. for this rcmn. oare, \\. ot. \n =_WO RKERS' COIII PFI\SATION NrCLARATI(TN I hereby affirrn under pcnalty of perjury one of thc following dcclrrations: _l havc und will rnaintain a Ccrlificatc of'Consctrt to Scll-lllsurc li)r \\'orkcrs' conrl)cnsalion. as providcd lbr by Scclion -37fi) of the l.alror (-irdc. ltrr lhc pcrt'ornlancc of thc work for which tlrc pcrrrrit is issuctl. lhc work lirr which this pcrnrit is issuccl. My workcrs' conlpcllsaliorr irtsurancc carricr iurd grlicy nutnbcr irc: Policy Numher: Expircs: $Lt certify rhat in rhc ;rcrformance of thc work for which rhis Jrcrmit is issucd. t shall nol cmploy Bny pcrson in any manner so as to bccome subject to thc workers' comFrcnsation laws of California. and agree that if I should beconrc subFct to thc workcrs' conlpcnsation provisions of Scction 3700 of thc l.atnr Codc. I shall. forthwith comply with thosc provisions.. t WARNING: Failurc to surc workcrs' omJEnstion covcEgc is utrllwful. and shrll suhjct an emplolrr to siminsl Fnsltics rrd civil fincs up lo onc hundrcd thousrd dollm (5100,000). in oddition lo thc cost of comlrcnslion. damgcs as prcvidcd for lhc t Scclion 3076 of thc kbor fuq inleres ud otlorrcy's fcs. p"ru, \\- Dk' \1 A rrE LI CT'NSFD C()NTRACTOR DECLAR/t'rl(lN I hcrcby alllrnr undcr Jrcnalty of Jrerjury that I am licensctl urrdcr provision of Chaptcr 9 (cornnrcncing with Scction 7000) of Division 3 of thc Busincss and Profcssions Codc. and rny liccnsc is in tull ftrrcc and clll'ct. License Class: License Number: Dale: W I herby affrm urdcr Fulty of Frjury thsl thcrc is r mnstrudhtr biding rgmy for tlE pctfm of the mrk for which lhis Fmil k issucd (Sc. 3097, Civ. C.). Lcntlcr's Nanrc: Lcndcr's Addrcss: A PPLICAN'T DIICLARA'I'ION I hcr--hy atfirrn undcr pcnalty of pcrjury orrc o[ thc lirllowing dcclarations: l)crrxrlitiorr Pcrnrits-Asbcstos Notification Fcclcral Rcgulations ('l'itlc 40, ['arl6) _Rcquircd Lctlcr of Notilication -l certify that the federalregulations rcBarding asbcstos rcmovalsrc nol applicable to this projcct. (Lrcertify that I have read this application and statc thar lhe atrovc informarion is correct. I agrce to comply ordinanccs and State Laws relating to building construction. and hercby authorize rcprcsentatives of this City with allCityand County and County to enter upon the t\, o8'tl atxrve nrcntioncd proprty for inspcction purfnscs. Applicant or Agenl Permitee name tprintl: ( tt *1 rAt S UQ.E G N l)ale: UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Pipinq Gas Pipinq Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Poo! Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back Flow Device Rouqh Plumbinq Final Gas Test Ia Meter Release ,/ ^ /IFINAL /14 U I '+fu/o9 Notes, Remarks, Etc. 7 I a Conlraclor: